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Chest wall resection---alloplastic replacement.

L H Lampl1, H Loeprecht

  • 1I. Surg. Clinic, Central Hospital Augsburg, FRG.

The Thoracic and Cardiovascular Surgeon
|June 1, 1988
PubMed
Summary
This summary is machine-generated.

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Chest wall resection is needed for various thoracic conditions. GORE-TEX patches offer a stable, durable solution for chest wall defects, simplifying reconstruction and avoiding complex flaps.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Biomaterials in Medicine

Background:

  • Chest wall resections are performed for diverse pathologies including tumors and infections.
  • Reconstruction of chest wall defects is crucial for respiratory function and wound healing.

Purpose of the Study:

  • To evaluate the outcomes of chest wall resection and reconstruction in a patient cohort.
  • To assess the efficacy and suitability of different prosthetic materials for chest wall defect repair.

Main Methods:

  • Retrospective analysis of 302 patients undergoing surgery, with 25 requiring chest wall resection.
  • Review of indications for resection, including bronchial carcinoma, rib tumors, mesothelioma, and infections.
  • Comparison of Marlex-mesh, Vicryl-mesh, and GORE-TEX patch materials for defect reconstruction.

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Main Results:

  • Bronchial carcinoma infiltration was the most frequent indication for resection (11 cases).
  • Primary rib tumors necessitated resection in 8 cases.
  • GORE-TEX patches demonstrated ease of use, stability, durability, and positive tissue response in the final 10 cases.

Conclusions:

  • GORE-TEX patches are a reliable material for chest wall reconstruction due to their technical ease and performance.
  • Complex reconstructive methods like myocutaneous flaps are generally unnecessary for standard defects.